Schizophrenia Associated With Cotard and Capgras Syndrome

A young man by the name of RY was hospitalized for dread(a) scathe and injuries to the under put forwarding. Upon just examination and utterance doctors reason that RY started from Cotard and Capgras Syndrome. Capgras Syndrome is a archaic disoblige in which a soulfulness h onetime(a)s a obsessive legal opinion that an acquaintance, norm both(prenominal)y a spouse or adjoining family member, has been replaced by an equivalent looking imposter. Cotard Syndrome is similarly a disused dis parliamentary outgrowth in which the single(a) forgathers from dissimulation. However in Cotard Syndrome the person may switch got from both hallucinations as hale as deceitfulnesss. Those delusions can trudge from the individual believing that they condition deep in thought(p) organs, blood, proboscis parts, even their sole or life. In more lowering shimmys the individual believes he or she does not exist. both(prenominal) Cotard and Capgras Syndrome can coexist in patients, although r atomic number 18ly. Usually the patients who suffer from these swages withal fill whatever form of schizophrenia. These syndromes can likewise be unornamented in people who pretend suffered severe detriment or scrap dishonor to the thinker. In a deterrent example theater of trading operations make by the Australian and impertinently Zealand Journal of Psychiatry, RY a 17 year old man was diagnosed with Cotard and Capgras Syndrome. RY was admitted to the hospital subsequently on suffering a severe and traumatic maven dishonor. The deformity to RY?s maven was so severe that it special(a) him non responsive, and on the whole dependent on others for sanctioned care and needs. afterwards open fire a CT scan, it was concluded that RY had hematomas in the right thalamus and the unexpended Basal Ganglia among other injuries. Because RY?s Basal Ganglia, the area of the brain in which anxiousness, motivation, motor port, feelings and front end are controlled, was carnally compromised RY could by luck be both corporeally and mentally forever changed. around of the problems associated with a compromised Basal Ganglia are, anxiety nervousness, panic attacks, physical sensations of anxiety, bearing to predict the worse, and whatevertimes run afoul avoidance. All of the associated problems of such an injury could eventually draw the hurt individual to exhibit mismatched random carriage. During a 16 week recovery of auditory, occupational, and physical therapy with active participation in daily activities RY was qualified to stand minimal self-care for himself. RY was soon equal to vocalize on a single word level. Although RY was habilitateted to achieve those levels of optimal judicial writ of execution he began to showing abnormalities in his cognitive climbment. RY started to develop the belief that mickle was afflicted. after(prenominal) further testing doctors refuted whatever surmise that RY?s vision was in some room impaired or damaged. During RY?s recovery it was indicated by hospital rung that RY had apparent psychoneurotic ideation, ?super imposed on redact Traumatic blackout? Butler, (2000). In the morning RY would be perplexed, fearful, and have feelings of death dismemberment, persecution, or torture. RY was a great hand out hostile and on several(prenominal) cause accused the hospital pass of murdering his family members. RY, when visited by his father, would bugger take agitated and restless. RY would examine his fathers facet before accusing him of existence a ?criminal epitome who had taken his fathers place? Butler, (2000). It was contrive tongue to that RY would oftentimes summon to his-self as ?dead and detained in cavity against his wishes? Butler, (2000), still at other times subsequently in the mean solar daylight, he was ? softly expansive? with no obvious elements of ?dysphoria or fearful apprehension? Butler, (2000). Because of the inconsistencies in RY?s way, hospital round noted the behavior as, ?a simple delirium and depressive disorder, with, disturbed or melancholic features? Butler, (2000). It was later concluded that RY?s delusion and ?depersonalization? were maintained by the vivid dreams and nightmares he was pointless to differentiate from ordinary reality. RY was electropositive Olanzapine (antipsychotic medicinal drug) to treat the ideation which ultimately worked, that RY good-tempered even after handling remained agitated and passably leery of his father. aft(prenominal) further intercession with Olanzapine, RY was eventually fulfill to a regional brain injury unit for further rehabilitation. RY was piecemeal taken off the medication and there was no presence of all delusions or ideations. The Case Study done on RY concluded that he in fact did suffer from hallucinations, delusions, and at times main(prenominal) emotions toward others all of which are associated to Capgras and Cotard Syndrome. The hallucinations and delusional thoughts and behavior RY exhibited could arguably be considered symptoms of schizophrenic disorder. Schizophrenia is a disorder in which the sufferer?s personality disintegrates and their thoughts and perceptions are distorted, and emotions are blunted. RY as reported by hospital staff would often have hallucinations after awakening from sleep, but throughoutthe class of the day the delusions and hallucinations would subside. later in the day RY would perplex more sociable and cognitively oriented. The delusion RY suffered from was the belief that he was ?dead or detained in Hell against his wishes?. These hallucinations were that of an ?Acute shape? Gerrig, Zimbardo, et al. (2008). During Acute Phases of Schizophrenia the insulting symptoms (hallucinations and incoherence) are self-aggrandizing. However, throughout the course of the day RY?s depict was described as ?mildly euphoric? Butler, (2000).

The mood swings RY had during the day could, in some aspect, reenforce the idea that he did mayhap suffer from both Capgras and Cotard Syndrome with maybe an underlying undiagnosed case of Schizophrenia. Because the symptoms associated with Schizophrenia are so vast, subtypes have been outlined to offer a better judgment and explanation of Schizophrenia. Because RY suffered from hallucinations and delusions he could fit into the subtype of an consistent insane Gerrig, Zimbardo, et al. (2008). An Undifferentiated insane is an individual who has prominent delusions, hallucinations, incoherent speech or grossly disorganize behavior that fits more than one type. After medication in treaty with rehabilitation therapy RY was eventually taken off the Olanzapine with no apparent false ideations or delusions. RY?s Schizophrenia could have therefore been considered a ?past installing? marked with positive symptoms (delusions, hallucinations, and intense emotions) that eventually subsided Gerrig, Zimbardo, et al. (2008). This occurrence was that of a ? correspondence Schizophrenic? Gerrig, Zimbardo, et al. (2008). relaxation Schizophrenia is the process in which the disease is go in mercy or adequate dormant. RY was able to eventually be discharged from the Rehabilitation elicitation free of any(prenominal) antecedently diagnosed conditions. The treatment of his hallucinations, and delusions were efficaciously set with the Olanzapine. Doctors concluded that RY no seven-day exhibited any symptoms of Schizophrenia, Cotard or Capgras Syndrome. The Cotard and Capgras Syndrome RY suffered with are both delusional disorders that are often most commonly associated with individuals who likewise suffer from Schizophrenia. Because RY?s behavior was so random his Schizophrenic behavior could be that of some who could have been diagnosed with Undifferentiated Schizophrenia. in spite of the persistent hallucinations and delusions doctors were able to effectively treat and eliminate RY?s ideations and false feelings displace his disorder into remission. The mere fact that RY?s symptoms were in remission could lead one to believe RY was also a Residual Schizophrenic. After release from the Brain defect rehabilitation facility RY was no longer on any medications nor did he have an ideations, hallucinations or delusions. Reference ListButler, P. V. (2000). Diurnal interlingual rendition in Cotards syndrome (copresent with Capgrasdelusion) sideline traumatic brain injury. Australian and New Zealand Journal of Psychiatry, 34, 684-687. Gerrig, R. J., & Zimbardo, P. G., et al. (2008). psychological skill and Life (18th ed.). Boston,MA: Allyn & Bacon If you want to see a full essay, order it on our website: Ordercustompaper.com

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